Robertson R H, Dowd S B, Hassan M
Department of Critical and Diagnostic Care, University of Alabama at Birmingham's School of Health Related Professions, USA.
Health Care Manage Rev. 1997 Fall;22(4):61-71. doi: 10.1097/00004010-199710000-00009.
Hospital managers have changed their staffing strategies to reduce the cost of care. Such hospitals may be both understaffed and underskilled in terms of some caregivers. Understaffing and underskilling may have indirect effects that offset the benefits of payroll cost reductions. This article indicates that in 1991 some California hospitals were understaffed in terms of specific bedside caregivers and had higher costs than did hospitals employing more of those caregivers.
医院管理者已经改变了人员配置策略以降低护理成本。就某些护理人员而言，这类医院可能人员配备不足且技能欠缺。人员配备不足和技能欠缺可能会产生间接影响，抵消工资成本降低带来的好处。本文指出，1991年，加利福尼亚州的一些医院在特定床边护理人员方面人员配备不足，且成本高于雇佣更多此类护理人员的医院。
